CPT code 47539: Biliary stent, new percutaneous access2026 Medicare rate & RVUs in North Dakota

In North Dakota, Medicare pays $3,952.73 for 47539 in the office and $347.10 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 47539 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 47539 covers

An interventional radiologist typically uses image guidance to establish percutaneous access to the biliary system and place a stent to relieve an obstructed or narrowed bile duct. This approach may be used for biliary obstruction associated with a stricture or tumor. The defining distinction from 47538 is that this service involves new access, rather than an already established biliary access route. Imaging guidance and related work integral to stent placement are part of the service.

Report 47539 for the stent placement through newly created percutaneous access; documentation should identify the access route and the stent procedure performed. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, and co-surgeon and team-surgery reporting are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How North Dakota compares for 47539

Across 109 of 109 payment localities, the office rate for 47539 runs from $3,441.06 in Arkansas to $5,603.61 in San Benito County, CA. North Dakota pays $3,952.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

47539 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 47539 in every payment locality

How the 47539 rate is calculated

Each of 47539’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 47539

The CMS indicators that decide how 47539 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 47539

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 47539 has changed in North Dakota

Price 47539 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

• Abercrombie
• Adams
• Alamo
• Alexander
• Alice
• Almont
• Alsen
• Ambrose

Browse all communities in North Dakota

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates